Version 2.80

93668-2 In the past 2 months, did you or others you live with eat smaller meals or skip meals because you didn't have money for food?

Fully-Specified Name

Component
Did you or others you live with eat smaller meals or skip meals because you didn't have money for food in the past 2M
Property
Find
Time
2M
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Did you or others you live with eat smaller meals or skip meals because you didn't have money for food in the past 2 months [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93669-0 Are you homeless or worried that you might be in the future?

Fully-Specified Name

Component
Are you homeless or worried that you might be in the future
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Are you homeless or worried that you might be in the future [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93670-8 Do you have trouble paying for your gas or electricity bills?

Fully-Specified Name

Component
Do you have trouble paying for your gas or electricity bills
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Do you have trouble paying for your gas or electricity bills [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93671-6 Do you have trouble finding or paying for a ride (transportation)?

Fully-Specified Name

Component
Do you have trouble finding or paying for transportation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Do you have trouble finding or paying for transportation [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93672-4 Do you need daycare, or better daycare, for your kids?

Fully-Specified Name

Component
Do you need daycare, or better daycare, for your kids
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Do you need daycare, or better daycare, for your kids [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93673-2 Are you unemployed or without regular income?

Fully-Specified Name

Component
Are you unemployed or without regular income
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Are you unemployed or without regular income [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93674-0 Do you need help finding a better job?

Fully-Specified Name

Component
Do you need help finding a better job
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Do you need help finding a better job [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93675-7 Do you need help getting more education?

Fully-Specified Name

Component
Do you need help getting more education
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Do you need help getting more education [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93676-5 Are you concerned about someone in your home using drugs or alcohol?

Fully-Specified Name

Component
Are you concerned about someone in your home using drugs or alcohol
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Are you concerned about someone in your home using drugs or alcohol [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93677-3 Do you need help with legal issues?

Reference Information

Type Source Reference
Article National Association of Community Health CentersCopyright © 2019. This item comes from the national PRAPARE social determinants of health assessment protocol, developed and owned by the National Association of Community Health Centers (NACHC), in partnership with the Association of Asian Pacific Community Health Organization (AAPCHO), the Oregon Primary Care Association (OPCA), and the Institute for Alternative Futures (IAF). For more information, visit www.nachc.org/prapare Adapted with permission from the national PRAPARE® social determinants of health protocol developed by the National Association of Community Health Centers, the Association of Asian Pacific Community Health Organizations, and the Oregon Primary Care Organization and their development partners. www.nachc.org/prapare. ©National Association of Community Health Centers. All Rights Reserved.

Fully-Specified Name

Component
Do you need help with legal issues
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Do you need help with legal issues

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.79 (MAJ)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93682-3 Do you feel unsafe in your daily life?

Fully-Specified Name

Component
Do you feel unsafe in your daily life
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Do you feel unsafe in your daily life [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93683-1 Is anyone in your home threatening or abusing you?

Fully-Specified Name

Component
Is anyone in your home threatening or abusing you
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Is anyone in your home threatening or abusing you [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93678-1 In the last 6 months, have you been at the Emergency Department more than twice?

Skip Logic

If No, skip to "In the last 6 months, have you been hospitalized?"

Fully-Specified Name

Component
Have you been at the emergency department more than twice in the last 6Mo
Property
Find
Time
6Mo
System
^Patient
Scale
Ord
Method
WellRx

Long Common Name

Have you been at the emergency department more than twice in the last 6 months [WellRx]

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93679-9 If Yes, How many times?

Fully-Specified Name

Component
Emergency department visits in last 6Mo
Property
Num
Time
6Mo
System
^Patient
Scale
Qn
Method

Long Common Name

Number of visits to the emergency department in last 6 months

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.67
Last Updated
Version 2.70 (NAM)
Change Reason
Release 2.70: TIME_ASPCT: Corrected from 6M (6 minutes) to 6Mo (6 months); COMPONENT: Updated wording to align with existing terms.;
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
96569-9 LACE index panel
93667-4 WellRx Questionnaire - revised

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Επισκέψεις ΤΕΠ τους τελευταίους 6 μήνες:Αρ.:6Mo:^Ασθενής:Qn:
Synonyms: Αρ. Επισκέψεις ΤΕΠ τους τελευταίους 6 μήνες Επισκέψεις τμήματος επειγόντων περιστατικών
es-MX Spanish (Mexico) Visitas a urgencias en los últimos 6 meses:Num:6Meses:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Pronto Soccorso, visite negli ultimi 6Mesi:Num:6Mesi:^Paziente:Qn:
Synonyms: Anamnesi Numero (conta) paziente Visite di Pronto Soccorso Visite di Pronto Soccorso negli ultimi 6 mesi
zh-CN Chinese (China) 在过去的6个月当中的急诊科就诊:数量(计数):6个月:^患者:定量型:
Synonyms: 个数;数量;数量或计数（非负整数）;计数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 半年;0.5年;2个季度 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在过去的6个月（半年、0.5年、180天）当中的急诊科就诊（就诊次数、就医、就医次数） 急诊科（急诊中心、急诊科室、急诊部门、急诊部、急诊室）就诊（就医、就诊过程、就医过程） 病史与体格检查

Example Units

Unit Source
{#} Example UCUM Units

93680-7 In the last 6 months, have you been hospitalized?

Skip Logic

If No, skip "If Yes, How many times?"

Fully-Specified Name

Component
Hospitalized in the last 6Mo
Property
Find
Time
6Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Hospitalized in the last 6 months

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93681-5 If Yes, How many times?

Fully-Specified Name

Component
Number of times hospitalized in last 6Mo
Property
Num
Time
6Mo
System
^Patient
Scale
Qn
Method

Long Common Name

Number of times hospitalized in last 6 months

Basic Attributes

Class
SURVEY.WELLRX
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
93667-4 WellRx Questionnaire - revised

Example Units

Unit Source
{#} Example UCUM Units